Individual
IGNACIO A UBILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
606 MIAMI ST APT A, NORTH MANCHESTER, IN 46962-1281
(317) 625-0723
Mailing address
606 MIAMI ST APT A, NORTH MANCHESTER, IN 46962-1281
(317) 625-0723
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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